Active NPI
Richard Jarina
- Physical Therapist
- Chalk HLL, PA
National Provider Identifier
1841679446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001001
- Practice address
- 213 Chestnut Lane
Chalk HLL, PA 15421 - Phone
- (724) 557-1696
- NPI assigned
- May 28, 2015
- Last updated
- May 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001001 | WV | Primary |
| Physical Therapist | 225100000X | PT001281E | PA |
Addresses
Primary practice location
213 Chestnut Lane
Chalk HLL, PA 15421
Mailing address
213 Chestnut Lane
Chalk HLL, PA 15421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT001281E | PA | MD | Physical Therapist |
| PT001001 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1841679446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 CHESTNUT LANE",
"city": "CHALK HLL",
"state": "PA",
"postal_code": "15421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 CHESTNUT LANE",
"city": "CHALK HLL",
"state": "PA",
"postal_code": "15421",
"telephone_number": "724-557-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARINA",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT001001",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT001281E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.